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Req-1212Document decision-making authority of patient representative2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Security and ConfidentialityNormative Statementsno
Req-2030Document decision-making authority of patient representative2015 Priority List
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Security and ConfidentialityNormative Statementyes
Req-2039Problem-specific age of consent2015 Priority ListThe system shall provide the ability to access legal guidelines on consent requirements for reference, where available, and to record the age of consent for a specific treatment when these differ based on legal guidelines.Security and ConfidentialityNormative Statementyes
Req-2040Age of emancipation2015 Priority ListThe system shall provide the ability to record the patient's emancipated minor status.Security and ConfidentialityNormative Statementyes
Req-2041Segmented access to information2015 Priority ListThe system shall provide users the ability to segment health care data in order to keep information about minor consent services private and distinct from other content of the record, such that it is not exposed to parents/guardians without the minor’s authorization.Security and ConfidentialityNormative Statementyes
Req-1053Access & Interoperability2013 FormatAccess and interoperability refers to the ability of school-based systems to provide access to and/or bi-directional sharing of data with external systems in standard formats.School-Based LinkagesFunctionno
Req-1055Access to child's medical records2013 FormatThe system SHALL enable appropriate access to the child's medical record to school-based clinicians.School-Based LinkagesNormative Statementsno
Req-1054FERPA compliance2013 FormatThe system SHALL comply with Family Educational Rights and Privacy Act (FERPA rules.School-Based LinkagesNormative Statementsno
Req-1056Access to school-based health record2013 FormatThe system SHOULD enable appropriate access to the school-based health record for requesting providers and SHALL capture, where necessary, parent/guardian authorization to share data in the record, with adequate specificity as to what information is allowed to be shared, with which caregivers (both clinical and non-clinical and for what purpose.School-Based LinkagesNormative Statementsno
Req-252Administrative Transaction Processing2013 Format
STATEMENT: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
DESCRIPTION: Support the creation...
STATEMENT: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
DESCRIPTION: Support the creation (including using external data sources, if necessary electronic interchange, and processing of transactions listed below that may be necessary for encounter management during an episode of care.
· The EHR system shall capture the patient health-related information needed for administrative and financial purposes including reimbursement.
· Captures the episode and encounter information to pass to administrative or financial processes (e.g. triggers transmissions of charge transactions as by-product of on-line interaction including order entry, order statusing, result entry, documentation entry, medication administration charting
· Automatically retrieves information needed to verify coverage and medical necessity.
· As a byproduct of care delivery and documentation: captures and presents all patient information needed to support coding. Ideally performs coding based on documentation.
· Clinically automated revenue cycle - examples of reduced denials and error rates in claims.
· Clinical information needed for billing is available on the date of service.
· Physician and clinical teams do not perform additional data entry / tasks exclusively to support administrative or financial processes.
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Registry LinkagesFunctionno
Req-251Health Service Reports at the Conclusion of an Episode of Care2013 Format
STATEMENT: Support the creation of health service reports at the conclusion of an episode of care. Support the creation of health service reports to authorized health entities, for example public health, such as notifiable condition...
STATEMENT: Support the creation of health service reports at the conclusion of an episode of care. Support the creation of health service reports to authorized health entities, for example public health, such as notifiable condition reports, immunization, cancer registry and discharge data that a provider may be required to generate at the conclusion of an episode of care.
DESCRIPTION: Effective use of this function means that providers do not perform additional data entry to support health management programs and reporting.
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Registry LinkagesFunctionno
Req-546Support ability to export data for non-interfaced registries2013 FormatThe system SHALL provide user controlled export features such as protected text or data files for registries that can't or won't accept interfaced or service fed data.Registry LinkagesNormative Statementsno
Req-547Support the tracking of the release of information to outside registries through linkage mechanisms2013 Format
The system SHALL provide data elements that support the tracking of the release of information to outside registries through linkage mechanisms. Release tracking must cascade to the patient level (X patient's data linked to Y...
The system SHALL provide data elements that support the tracking of the release of information to outside registries through linkage mechanisms. Release tracking must cascade to the patient level (X patient's data linked to Y registry. Data elements: Releasing System, Receiving System, Date and Time of Release, Releasing Agent, Reason for Release, Trust Relationship, Release Mechanism.
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Registry LinkagesNormative Statementsno
Req-544Ability to comply with registry sharing/linking regulations and standards2013 FormatThe system SHALL comply with registry sharing/linking regulations and standards (HIPAA, HITECH, CHIPRA, etc.Registry LinkagesNormative Statementsno
Req-545Ability to comply with industry standards for interfaces and services2013 FormatThe system SHALL comply with industry standards for interfaces and services within the limitations of currently accepted standardsRegistry LinkagesNormative Statementsno
Req-677Service reports2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Registry LinkagesNormative Statementsyes
Req-668Automate data retrieval2013 Format
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You are viewing the Abridged Children's EHR Format. To view the Full Children's EHR Format, you must first agree to the HL7 License Agreement.
Registry LinkagesNormative Statementsno
Req-566Performance and Accountability Measures2013 Format
STATEMENT: Support the capture and subsequent export or retrieval of data necessary to provide quality, performance, and accountability measurements which providers, facilities, delivery systems, and communities are held accountable.
DESCRIPTION: Many regions require regular reporting...
STATEMENT: Support the capture and subsequent export or retrieval of data necessary to provide quality, performance, and accountability measurements which providers, facilities, delivery systems, and communities are held accountable.
DESCRIPTION: Many regions require regular reporting on the healthcare provided to individuals and populations. These reports may include measures related to process, outcomes, costs of care, may be used in 'pay for performance' monitoring and adherence to best practice guidelines. The system needs to provide the report generating capability to easily create these reports or provide for the export of data to external report generating software.
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Quality MeasuresFunctionno
Req-1005Link maternal and birth data to child health record2013 FormatThe system SHALL provide for the linking of maternal and birth data to the child health record for quality measures. Examples: linkage of frequency of prenatal care to birth weight.Quality MeasuresNormative Statementsyes
Req-967Display quality measures graphically2013 FormatThe system SHALL be able to display the quality measures graphically, with multiple time points as selected by the user within the healthcare setting (e.g., run chartsQuality MeasuresNormative Statementsno
Req-965Additional quality measures2013 Format
The system SHOULD be able to capture, retrieve, export, and display codified data for user-defined or other endorsed quality measures, such as National Quality Forum (NQF Physician Quality Reporting System (PQRS, formerly known as the...
The system SHOULD be able to capture, retrieve, export, and display codified data for user-defined or other endorsed quality measures, such as National Quality Forum (NQF Physician Quality Reporting System (PQRS, formerly known as the Physician Quality Reporting Initiative National Association of Children's Hospitals and Related Institutions (NACHRI National Initiative for Children's Healthcare Quality (NICHQ or state-endorsed. This includes "numerator" elements (e.g., the number of times that a particular service was delivered and "denominator" elements (e.g., the size of the population that should receive the service of interest within a user-specified time frame.
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Quality MeasuresNormative Statementsno
Req-964CHIPRA-required quality measures2013 Format
The system SHALL be able to capture, retrieve, export, and display codified data for CHIPRA-required quality measures for children's health (as they become available AHRQ will specify the minimum data elements necessary.

Examples: childhood...
The system SHALL be able to capture, retrieve, export, and display codified data for CHIPRA-required quality measures for children's health (as they become available AHRQ will specify the minimum data elements necessary.

Examples: childhood immunization status in a clinic over 1 year beginning in January 2011, or weight assessment for children/adolescents over 2 months beginning in March 2011.
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Quality MeasuresNormative Statementsno
Req-255Manage Clinical Documents and Notes2013 Format
STATEMENT: Create, addend, correct, authenticate and close, as needed, transcribed or directly-entered clinical documentation and notes.
DESCRIPTION: Clinical documents and notes may be unstructured and created in a narrative form, which may be based on...
STATEMENT: Create, addend, correct, authenticate and close, as needed, transcribed or directly-entered clinical documentation and notes.
DESCRIPTION: Clinical documents and notes may be unstructured and created in a narrative form, which may be based on a template, graphical, audio, etc.. The documents may also be structured documents that result in the capture of coded data. Each of these forms of clinical documentation is important and appropriate for different users and situations.
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Primary Care Management, Well Child/Preventive CareFunctionno
Req-267Produce a Summary Record of Care2013 Format
STATEMENT: Present a summarized review of a patient's comprehensive EHR, subject to jurisdictional laws and organizational policies related to privacy and confidentiality.
DESCRIPTION: Create summary views and reports at the conclusion of an episode of...
STATEMENT: Present a summarized review of a patient's comprehensive EHR, subject to jurisdictional laws and organizational policies related to privacy and confidentiality.
DESCRIPTION: Create summary views and reports at the conclusion of an episode of care. Create service reports at the completion of an episode of care such as, but not limited to, discharge summaries and public health reports, without additional input from clinicians.
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Primary Care Management, Well Child/Preventive CareFunctionno
Req-569Support for Non-Medication Ordering2013 Format
STATEMENT: Display and request provider validation of information necessary for non-medication orders that make the order pertinent, relevant and resource-conservative at the time of provider order entry.

DESCRIPTION: Possible order entry support includes, but...
STATEMENT: Display and request provider validation of information necessary for non-medication orders that make the order pertinent, relevant and resource-conservative at the time of provider order entry.

DESCRIPTION: Possible order entry support includes, but is not limited to: notification of missing results required for the order, suggested corollary orders, notification of duplicate orders, institution-specific order guidelines, guideline-based orders/order sets, order sets, order reference text, patient diagnosis specific recommendations pertaining to the order. Also, warnings for orders that may be inappropriate or contraindicated for specific patients (e.g. X-rays for pregnant women are presented.

Non-medication orders include orders such as:
• supplies such as 4x4's and ACE bandages
• non-medical devices such as TTY phones for the hearing impaired
• groups of supplies or kits common to an organization
• simple durable medical equipment (DME such as crutches or walkers
• complex DME such as wheelchairs and hospital beds
• therapies and other services that may require a referral and/or an authorization for insurance coverage
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Primary Care Management, Well Child/Preventive CareFunctionno
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